Individual
NATOSHA L TULLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5432 W COPPER NEEDLE WAY, SOUTH JORDAN, UT 84009-6235
(801) 898-1770
Mailing address
5432 W COPPER NEEDLE WAY, SOUTH JORDAN, UT 84009-6235
(801) 898-1770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8635972-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
8635972-4405
UT
Other
Enumeration date
01/10/2024
Last updated
12/08/2024
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